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 21 
 on: July 12, 2016, 10:19:40 PM 
Started by Robert Hackett - Last post by Robert Hackett
Indistinct chlorhexidine has been mistaken for other solutions such a s saline (injected into epidural space) and IV contrast (cerebral angiograms etc) with devastating consequences.
We are trying to ban indistinct pourable chlorhexidine. Very interested in your thoughts and help.
Please see this link for more details: http://wp.me/p6ZAcV-2Q
Thanks

 22 
 on: July 02, 2016, 11:08:56 PM 
Started by GRS - Last post by GRS
I would like your advice and opinions relating to the administration of a drug at the end of a lengthy failed resuscitation attempt. We can approach this hypothetically.
A paediatric patient had been assessed to have suffered a cardiac arrest, and a resuscitation attempt had been carried out for more than half an hour. The patient was assessed to have been flatlined and non-shockable throughout the resuscitation attempt. A decision to cease the resuscitation attempt was then made. 4.2mls of intravenous Fentanyl (an intubation dose) was administered after ceasing resuscitation.

What would the possible rationale behind administering the drug to this patient be?

 23 
 on: August 29, 2015, 09:47:14 AM 
Started by anesthesiaresident999 - Last post by anesthesiaresident999
Anyone interested in studying anesthesia with a study partner...we ll make schedule and reach those targets. Together we can make studying a pleasant experience :)
Mail me at anesthesiaresident999 @ Gmail. Com

 24 
 on: July 11, 2015, 01:49:36 AM 
Started by jafo1964 - Last post by frank
I would try to improve the condition of this patient preoperatively-infusions,correction of anaemia,adequate intravascular volume,  Echo-find out ejection fraction,pulmonary hypertension,valve function. In case of severe heart depression,CT brain -acute ischaemia,I would refuse the case. In case I would anesthetize this patient, I would discuss risk of this procedure with his family- highrisk patient, very old, complications including death. I would prefer epidural with placing catheter-unnecessary adequate iv volume.

 25 
 on: July 10, 2015, 03:31:21 AM 
Started by frank - Last post by frank
Thanks for answer, this I have not known so far :)

 26 
 on: July 08, 2015, 01:29:28 AM 
Started by yogenbhatt1 - Last post by sferari
Depends of surgery performed usualy starts with 5-10 mg until effect

 27 
 on: July 08, 2015, 01:23:42 AM 
Started by jafo1964 - Last post by sferari
Spinal or some propophol and sufenthanyl or fenthanyl with huge oxigenation should make old man feel better then awake K is up to 5 so diuresys shold be monitored

 28 
 on: July 08, 2015, 01:15:23 AM 
Started by frank - Last post by sferari
Should be wise to extubate when laringeal reflex is back

 29 
 on: June 03, 2015, 09:01:19 PM 
Started by frank - Last post by frank
Hello,
I would like to ask about your practice of extubation following total gastrectomy. During this procedure of course gets some GIT content up to mouth. Do you feel ,frequent missed microaspirations of this content in yet intubated patient occur?How do you prevent aspiration?
How do you proceed,if a distal part of oesophagus is also resected and in the end of surgery you change from double-lumen endotracheal tube to single lumen one?
Do you experience more respirátory complications following this procedure?
Thanks very much for your answers  Frank

 30 
 on: May 07, 2015, 10:05:22 PM 
Started by Walter Petorski - Last post by sferari
 ??? I will use it all the times instead of isoflorane. I have two vaporizers for halotan , but in Europe no supplier has halotan anymore. So some two years or more I gladly use iv sufentanyl because with isofluran it never goes smoothly as it was with halotane

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